Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
VALIECE TIARA LONG, M.S.
Active Sole ProprietorProcedural Dermatology · MARIETTA, GA
Registration Details
- NPI Number
- 1811780646
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 24, 2025 (0.91192283861498 yrs)
- Last Updated
- May 24, 2025
- License
-
19340000X (NE)
- Sole Proprietor
- Yes
Practice Information
- Address
-
750 CHASTAIN CORMARIETTA, GA, 300668518Browse GA providers · Browse ZIP 30066
- Phone
- 7275902303
- Primary Specialty
-
Procedural Dermatology
207NS0135X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.